{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,15]],"date-time":"2026-10-15T06:01:03Z","timestamp":1792044063882,"version":"4.4.0"},"reference-count":52,"publisher":"Public Library of Science (PLoS)","issue":"6","license":[{"start":{"date-parts":[[2024,6,13]],"date-time":"2024-06-13T00:00:00Z","timestamp":1718236800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"DOI":"10.13039\/501100000272","name":"National Institute for Health and Care Research","doi-asserted-by":"publisher","award":["NIHR200125"],"award-info":[{"award-number":["NIHR200125"]}],"id":[{"id":"10.13039\/501100000272","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["www.plosglobalpublichealth.org"],"crossmark-restriction":false},"short-container-title":["PLOS Glob Public Health"],"abstract":"<jats:p>Integrated approaches to managing co-endemic neglected tropical diseases (NTDs) of the skin within primary healthcare services are complex and require tailoring to local contexts. We describe formative research in Atwima Mponua District in Ghana\u2019s Ashanti Region designed to inform the development of a sustainable intervention to improve access to skin NTD care. We employed a convergent, parallel, mixed-methods design, collecting data from February 2021 to February 2022. We quantitatively assessed service readiness using a standardised checklist and reviewed outpatient department registers and condition-specific case records in all government health facilities in the district. Alongside a review of policy documents, we conducted 49 interviews and 7 focus group discussions with purposively selected affected persons, caregivers, community members, health workers, and policy-makers to understand skin NTD care-seeking practices and the policy landscape. Outside the district hospital, skin NTD reporting rates in the surveyed facilities were low; supply chains for skin NTD diagnostics, consumables, and medicines had gaps; and health worker knowledge of skin NTDs was limited. Affected people described fragmented care, provided mostly by hospitals (often outside the district) or traditional healers, resulting in challenges obtaining timely diagnosis and treatment and high care-seeking costs. Affected people experienced stigma, although the extent to which stigma influenced care-seeking behaviour was unclear. National actors were more optimistic than district-level actors about local resource availability for skin NTD care and were sceptical of including traditional healers in interventions. Our findings indicate that improvement of the care cascade for affected individuals to reduce the clinical, economic, and psychosocial impact of skin NTDs is likely to require a complementary set of interventions. These findings have informed the design of a strategy to support high-quality, integrated, decentralised care for skin NTDs in Atwima Mponua, which will be assessed through a multidisciplinary evaluation.<\/jats:p>","DOI":"10.1371\/journal.pgph.0002833","type":"journal-article","created":{"date-parts":[[2024,6,13]],"date-time":"2024-06-13T17:26:03Z","timestamp":1718299563000},"page":"e0002833","update-policy":"https:\/\/doi.org\/10.1371\/journal.pgph.corrections_policy","source":"Crossref","is-referenced-by-count":14,"title":["Improving experiences of neglected tropical diseases of the skin: Mixed methods formative research for development of a complex intervention in Atwima Mponua District, Ghana"],"prefix":"10.1371","volume":"4","author":[{"ORCID":"https:\/\/orcid.org\/0009-0008-8848-8974","authenticated-orcid":true,"given":"Daniel","family":"Okyere","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Edmond Kwaku","family":"Ocloo","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lucy","family":"Owusu","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4642-789X","authenticated-orcid":true,"given":"Yaw Ampem","family":"Amoako","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ruth Dede","family":"Tuwor","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Eric","family":"Koka","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jacob","family":"Novignon","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8929-193X","authenticated-orcid":true,"given":"Adwoa","family":"Asante-Poku","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ishaque Mintah","family":"Siam","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Emmanuel Kyei","family":"Afreh","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Abigail","family":"Agbanyo","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5778-1472","authenticated-orcid":true,"given":"Richard Adjei","family":"Akuffo","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5941-9733","authenticated-orcid":true,"given":"Solomon","family":"Gyabaah","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Michael Ntiamoah","family":"Oppong","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Katherine E.","family":"Halliday","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2956-5342","authenticated-orcid":true,"given":"Hope","family":"Simpson","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Joseph","family":"Timothy","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Michael","family":"Marks","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Maria","family":"Zuurmond","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2034-8376","authenticated-orcid":true,"given":"Stephen L.","family":"Walker","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rachel L.","family":"Pullan","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Collins Stephen","family":"Ahorlu","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8992-0222","authenticated-orcid":true,"given":"Richard Odame","family":"Phillips","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Dorothy","family":"Yeboah-Manu","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Catherine","family":"Pitt","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7777-722X","authenticated-orcid":true,"given":"Jennifer","family":"Palmer","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"name":"SHARP collaboration","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"340","published-online":{"date-parts":[[2024,6,13]]},"reference":[{"issue":"11","key":"pgph.0002833.ref001","doi-asserted-by":"crossref","first-page":"843","DOI":"10.1016\/j.pt.2016.08.005","article-title":"Opportunities for Integrated Control of Neglected Tropical Diseases That Affect the Skin","volume":"32","author":"D Engelman","year":"2016","journal-title":"Trends Parasitol"},{"key":"pgph.0002833.ref002","unstructured":"Ghana | END in Africa [Internet]. [cited 2023 Jun 16]. https:\/\/endinafrica.org\/approach\/countries-as-partners\/ghana\/"},{"issue":"1","key":"pgph.0002833.ref003","doi-asserted-by":"crossref","first-page":"1","DOI":"10.47276\/lr.86.1.1","article-title":"Leprosy and Buruli ulcer: similarities suggest combining control and prevention of disability strategies in countries endemic for both diseases","volume":"86","author":"DS Walsh","year":"2015","journal-title":"Lepr Rev"},{"key":"pgph.0002833.ref004","volume-title":"Recognizing neglected tropical diseases through changes on the skin A training guide for front-line health workers","author":"WHO","year":"2018"},{"issue":"1","key":"pgph.0002833.ref005","doi-asserted-by":"crossref","first-page":"109","DOI":"10.1186\/s40249-021-00891-8","article-title":"Mental health and quality of life burden in Buruli ulcer disease patients in Ghana","volume":"10","author":"YA Amoako","year":"2021","journal-title":"Infect Dis Poverty"},{"issue":"10","key":"pgph.0002833.ref006","doi-asserted-by":"crossref","first-page":"e321","DOI":"10.1371\/journal.pntd.0000321","article-title":"\u201cIt is me who endures but my family that suffers\u201d: social isolation as a consequence of the household cost burden of Buruli ulcer free of charge hospital treatment","volume":"2","author":"K Peeters Grietens","year":"2008","journal-title":"PLoS Negl Trop Dis"},{"key":"pgph.0002833.ref007","volume-title":"Ending the Neglect to Attain the Sustainable Development Goals: A Road Map for Neglected Tropical Diseases 2021\u20132030","author":"WHO","year":"2020"},{"key":"pgph.0002833.ref008","volume-title":"Ghana NTD Masterplan 2021\u20132025","author":"Ghana Health Service"},{"issue":"5","key":"pgph.0002833.ref009","doi-asserted-by":"crossref","first-page":"e0008291","DOI":"10.1371\/journal.pntd.0008291","article-title":"Impact of common skin diseases on children in rural C\u00f4te d\u2019Ivoire with leprosy and Buruli ulcer co-endemicity: A mixed methods study","volume":"14","author":"RR Yotsu","year":"2020","journal-title":"PLoS Negl Trop Dis"},{"issue":"2","key":"pgph.0002833.ref010","doi-asserted-by":"crossref","first-page":"e0008030","DOI":"10.1371\/journal.pntd.0008030","article-title":"\u201cBuruli ulcer and leprosy, they are intertwined\u201d: Patient experiences of integrated case management of skin neglected tropical diseases in Liberia","volume":"14","author":"M Prochazka","year":"2020","journal-title":"PLoS Negl Trop Dis"},{"issue":"7","key":"pgph.0002833.ref011","doi-asserted-by":"crossref","first-page":"e0005820","DOI":"10.1371\/journal.pntd.0005820","article-title":"Knowledge, attitudes and practices towards yaws and yaws-like skin disease in Ghana","volume":"11","author":"M Marks","year":"2017","journal-title":"PLoS Negl Trop Dis"},{"issue":"1","key":"pgph.0002833.ref012","doi-asserted-by":"crossref","first-page":"264","DOI":"10.1186\/1471-2458-12-264","article-title":"Illness meanings and experiences for pre-ulcer and ulcer conditions of Buruli ulcer in the Ga-West and Ga-South Municipalities of Ghana","volume":"12","author":"MM Ackumey","year":"2012","journal-title":"BMC Public Health"},{"key":"pgph.0002833.ref013","volume-title":"Buruli Ulcer: Mycobacterium Ulcerans Disease","author":"M Nichter","year":"2019"},{"issue":"3","key":"pgph.0002833.ref014","doi-asserted-by":"crossref","first-page":"88","DOI":"10.3390\/tropicalmed3030088","article-title":"A teledermatology pilot programme for the management of skin diseases in primary health care centres: experiences from a resource-limited country (Mali, West Africa)","volume":"3","author":"O Faye","year":"2018","journal-title":"Trop Med Infect Dis"},{"issue":"1","key":"pgph.0002833.ref015","doi-asserted-by":"crossref","first-page":"517","DOI":"10.1186\/s12889-020-08632-6","article-title":"Integrated approach in the control and management of skin neglected tropical diseases in three health districts of C\u00f4te d\u2019Ivoire","volume":"20","author":"AP Koffi","year":"2020","journal-title":"BMC Public Health"},{"issue":"Num. 9","key":"pgph.0002833.ref016","article-title":"Quantifying Population Burden and Effectiveness of Decentralized Surveillance Strategies for Skin-Presenting Neglected Tropical Diseases","volume":"28","author":"JWS Timothy","year":"2022","journal-title":"Liberia"},{"key":"pgph.0002833.ref017","doi-asserted-by":"crossref","first-page":"i75","DOI":"10.1093\/inthealth\/ihac081","article-title":"A mixed methods evaluation of an integrated training package for skin neglected tropical diseases in Kaduna and Ogun, Nigeria","volume":"15","author":"LA Lar","year":"2023","journal-title":"Int Health"},{"key":"pgph.0002833.ref018","article-title":"Recommendations for an Optimal Model of integrated case detection, referral, and confirmation of Neglected Tropical Diseases: A case study in Bong County","author":"TG Godwin-Akpan","year":"2022","journal-title":"Liberia"},{"issue":"2","key":"pgph.0002833.ref019","doi-asserted-by":"crossref","first-page":"167","DOI":"10.3201\/eid0802.010119","article-title":"Buruli Ulcer in Ghana: Results of a National Case Search","volume":"8","author":"G Amofah","year":"2002","journal-title":"Emerg Infect Dis"},{"issue":"9","key":"pgph.0002833.ref020","doi-asserted-by":"crossref","first-page":"e0006776","DOI":"10.1371\/journal.pntd.0006776","article-title":"Implementing active community-based surveillance-response system for Buruli ulcer early case detection and management in Ghana","volume":"12","author":"CS Ahorlu","year":"2018","journal-title":"PLoS Negl Trop Dis"},{"issue":"1","key":"pgph.0002833.ref021","doi-asserted-by":"crossref","first-page":"e0005192","DOI":"10.1371\/journal.pntd.0005192","article-title":"\u201cI Wasted 3 Years, Thinking It\u2019s Not a Problem\u201d: Patient and Health System Delays in Diagnosis of Leprosy in India: A Mixed-Methods Study","volume":"11","author":"T Muthuvel","year":"2017","journal-title":"PLoS Negl Trop Dis"},{"key":"pgph.0002833.ref022","unstructured":"Ghana Districts. Ghana Districts: A repository of all Local Assemblies in Ghana [Internet]. [cited 2023 May 29]. https:\/\/www.ghanadistricts.com\/Home\/District\/13"},{"key":"pgph.0002833.ref023","volume-title":"Service availability and readiness assessment (SARA): an annual monitoring system for service delivery: reference manual","author":"World Health Organization","year":"2013"},{"key":"pgph.0002833.ref024","unstructured":"WHO. Service Availability and Readiness Assessment (SARA) | Reference Manual, Version 2.2 [Internet]. World Health Organization; 2015 Jul [cited 2023 Jun 20]. https:\/\/www.who.int\/publications-detail-redirect\/WHO-HIS-HSI-2014.5-Rev.1"},{"key":"pgph.0002833.ref025","doi-asserted-by":"crossref","unstructured":"Hartung C, Lerer A, Anokwa Y, Tseng C, Brunette W, Borriello G. Open data kit: tools to build information services for developing regions. In: Proceedings of the 4th ACM\/IEEE International Conference on Information and Communication Technologies and Development [Internet]. New York, NY, USA: Association for Computing Machinery; 2010 [cited 2023 Apr 21]. p. 1\u201312. (ICTD \u201810).","DOI":"10.1145\/2369220.2369236"},{"key":"pgph.0002833.ref026","unstructured":"NHIA. National Health Insurance Scheme; Tariff Operation Manual [Internet]. National Health Insurance Authority; 2022. https:\/\/nhis.gov.gh\/files\/TARIFFS%20OPERATION%20MANUAL%20v22.pdf"},{"key":"pgph.0002833.ref027","unstructured":"TMPC. Traditional Medicine Practice Council | Ensuring standards in quality practice [Internet]. [cited 2024 Apr 8]. https:\/\/tmpcghana.org\/"},{"key":"pgph.0002833.ref028","first-page":"245","volume-title":"Standard Treatment Guidelines","author":"MOH","year":"2017","edition":"7"},{"key":"pgph.0002833.ref029","doi-asserted-by":"crossref","DOI":"10.1515\/9780857451118","volume-title":"Adventures in Aidland: The Anthropology of Professionals in International Development","author":"D Mosse","year":"2022"},{"issue":"1","key":"pgph.0002833.ref030","doi-asserted-by":"crossref","first-page":"e0002809","DOI":"10.1371\/journal.pgph.0002809","article-title":"Development of an integrated and decentralised skin health strategy to improve experiences of skin neglected tropical diseases and other skin conditions in Atwima Mponua District, Ghana","volume":"4","author":"RO Phillips","year":"2024","journal-title":"PLOS Glob Public Health"},{"issue":"1","key":"pgph.0002833.ref031","first-page":"25","article-title":"Formative Research in School and Community-Based Health Programs and Studies: \u201cState of the Art\u201d and the TAAG Approach","volume":"33","author":"J Gittelsohn","year":"2006","journal-title":"Health Educ Behav Off Publ Soc Public Health Educ"},{"issue":"Suppl 2","key":"pgph.0002833.ref032","doi-asserted-by":"crossref","first-page":"S1","DOI":"10.1007\/s11606-006-0267-9","article-title":"The role of formative evaluation in implementation research and the QUERI experience","volume":"Suppl 2","author":"CB Stetler","year":"2006","journal-title":"J Gen Intern Med"},{"key":"pgph.0002833.ref033","volume-title":"NHIA engages stakeholders over unapproved charges","author":"GNA","year":"2022"},{"issue":"03","key":"pgph.0002833.ref034","doi-asserted-by":"crossref","first-page":"179","DOI":"10.4236\/aasoci.2012.23024","article-title":"Household Perceptions, Treatment-Seeking Behaviors and Health Outcomes for Buruli Ulcer Disease in a Peri-Urban District in Ghana","volume":"02","author":"AY Owusu","year":"2012","journal-title":"Adv Appl Sociol"},{"issue":"3","key":"pgph.0002833.ref035","doi-asserted-by":"crossref","first-page":"445","DOI":"10.1111\/j.1365-3156.2006.01795.x","article-title":"Community-based study on knowledge, attitude and practice on the mode of transmission, prevention and treatment of the Buruli ulcer in Ga West District, Ghana","volume":"12","author":"AMN Renzaho","year":"2007","journal-title":"Trop Med Int Health TM IH"},{"issue":"12","key":"pgph.0002833.ref036","doi-asserted-by":"crossref","first-page":"1251","DOI":"10.1111\/j.1365-3156.2005.01519.x","article-title":"Factors associated with functional limitations and subsequent employment or schooling in Buruli ulcer patients","volume":"10","author":"Y Stienstra","year":"2005","journal-title":"Trop Med Int Health"},{"key":"pgph.0002833.ref037","first-page":"160","article-title":"Situated knowledge of pathogenic landscapes in Ghana: Understanding the emergence of Buruli ulcer through qualitative analysis","volume":"150","author":"P Tschakert","year":"2016","journal-title":"Soc Sci Med 1982"},{"issue":"2","key":"pgph.0002833.ref038","doi-asserted-by":"crossref","first-page":"207","DOI":"10.4269\/ajtmh.2002.67.207","article-title":"Beliefs and attitudes toward Buruli ulcer in Ghana","volume":"67","author":"Y Stienstra","year":"2002","journal-title":"Am J Trop Med Hyg"},{"issue":"8","key":"pgph.0002833.ref039","doi-asserted-by":"crossref","first-page":"750","DOI":"10.1046\/j.1365-3156.2003.01089.x","article-title":"Psychosocial aspects of health seeking behaviours of patients with Buruli ulcer in southern Benin","volume":"8","author":"I Aujoulat","year":"2003","journal-title":"Trop Med Int Health"},{"issue":"7","key":"pgph.0002833.ref040","doi-asserted-by":"crossref","first-page":"e0004825","DOI":"10.1371\/journal.pntd.0004825","article-title":"Cultural understanding of wounds, Buruli ulcers and their management at the Obom sub-district of the Ga south municipality of the Greater Accra region of Ghana","volume":"10","author":"E Koka","year":"2016","journal-title":"PLoS Negl Trop Dis"},{"issue":"9","key":"pgph.0002833.ref041","doi-asserted-by":"crossref","first-page":"912","DOI":"10.1016\/j.trstmh.2008.05.026","article-title":"Healthcare seeking behaviour for Buruli ulcer in Benin: a model to capture therapy choice of patients and healthy community members","volume":"102","author":"AA Mulder","year":"2008","journal-title":"Trans R Soc Trop Med Hyg"},{"issue":"10","key":"pgph.0002833.ref042","doi-asserted-by":"crossref","first-page":"e445","DOI":"10.1371\/journal.pntd.0000445","article-title":"A Word of Caution against the Stigma Trend in Neglected Tropical Disease Research and Control","volume":"3","author":"J M Ribera","year":"2009","journal-title":"PLoS Negl Trop Dis"},{"issue":"5","key":"pgph.0002833.ref043","doi-asserted-by":"crossref","first-page":"e36954","DOI":"10.1371\/journal.pone.0036954","article-title":"What Role Do Traditional Beliefs Play in Treatment Seeking and Delay for Buruli Ulcer Disease?\u2013Insights from a Mixed Methods Study in Cameroon","volume":"7","author":"KP Grietens","year":"2012","journal-title":"PLOS ONE"},{"issue":"6","key":"pgph.0002833.ref044","doi-asserted-by":"crossref","first-page":"e0010533","DOI":"10.1371\/journal.pntd.0010533","article-title":"Associated factors study into the belated screening for leprosy in Benin","volume":"16","author":"RS Gnimavo","year":"2022","journal-title":"PLoS Negl Trop Dis"},{"key":"pgph.0002833.ref045","unstructured":"Ghana Health Service. Traditional Medicine Practice Council [Internet]. Ministry Of Health. [cited 2023 Apr 22]. https:\/\/www.moh.gov.gh\/traditional-medicine-practice-council\/"},{"issue":"1","key":"pgph.0002833.ref046","doi-asserted-by":"crossref","first-page":"2","DOI":"10.1186\/s12939-014-0130-2","article-title":"Refusal to enrol in Ghana\u2019s National Health Insurance Scheme: is affordability the problem?","volume":"14","author":"A Kusi","year":"2015","journal-title":"Int J Equity Health"},{"issue":"2","key":"pgph.0002833.ref047","first-page":"9","article-title":"Traditional healers in Ghana: So near to the people, yet so far away from basic health care system","volume":"6","author":"KB Barimah","year":"2016","journal-title":"CellMed"},{"issue":"9","key":"pgph.0002833.ref048","doi-asserted-by":"crossref","first-page":"7","DOI":"10.9734\/ijtdh\/2023\/v44i91428","article-title":"Knowledge and Management of Buruli Ulcer Disease: A Case Study at Sekyere Afram Plains District of Ashanti Region, Ghana","volume":"44","author":"P Gyaase","year":"2023","journal-title":"Int J Trop Dis Health"},{"issue":"5","key":"pgph.0002833.ref049","doi-asserted-by":"crossref","first-page":"e0008369","DOI":"10.1371\/journal.pntd.0008369","article-title":"Barriers to Buruli ulcer treatment completion in the Ashanti and Central Regions, Ghana","volume":"14","author":"S Collinson","year":"2020","journal-title":"PLoS Negl Trop Dis"},{"issue":"2","key":"pgph.0002833.ref050","doi-asserted-by":"crossref","first-page":"52","DOI":"10.3390\/tropicalmed5020052","article-title":"Understanding the Role of the Diagnostic \u2018Reflex\u2019 in the Elimination of Human African Trypanosomiasis","volume":"5","author":"JJ Palmer","year":"2020","journal-title":"Trop Med Infect Dis"},{"key":"pgph.0002833.ref051","author":"MN Boyer","year":"2017","journal-title":"Questioning Assumptions about Decision-Making in West African Households: Examples from Longitudinal Studies in Benin and Mali"},{"issue":"sup2","key":"pgph.0002833.ref052","doi-asserted-by":"crossref","first-page":"1360550","DOI":"10.1080\/16549716.2017.1360550","article-title":"Factors preventing early case detection for women affected by leprosy: a review of the literature","volume":"10","author":"VG Price","year":"2017","journal-title":"Glob Health Action"}],"container-title":["PLOS Global Public Health"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/dx.plos.org\/10.1371\/journal.pgph.0002833","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,6,13]],"date-time":"2024-06-13T17:26:28Z","timestamp":1718299588000},"score":1,"resource":{"primary":{"URL":"https:\/\/dx.plos.org\/10.1371\/journal.pgph.0002833"}},"subtitle":[],"editor":[{"given":"Ferdinand C","family":"Mukumbang","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"editor"}]}],"short-title":[],"issued":{"date-parts":[[2024,6,13]]},"references-count":52,"journal-issue":{"issue":"6","published-online":{"date-parts":[[2024,6,13]]}},"URL":"https:\/\/doi.org\/10.1371\/journal.pgph.0002833","relation":{},"ISSN":["2767-3375"],"issn-type":[{"value":"2767-3375","type":"electronic"}],"subject":[],"published":{"date-parts":[[2024,6,13]]}}}